通过使用基于药房的补充记录,评估患有状细胞病的年轻人基尿素坚持的多层次障碍
Arlene Smaldone1,2, Deepa Manwani3, Banu Aygun4,5
1Columbia University School of Nursing, New York, New York, USA.
Pediatric blood & cancer
|July 8, 2024
概括
在患有状细胞病 (SCD) 的年轻人中,药物坚持挑战是常见的. 复杂的治疗方案和不充分的药物供应是基尿素遵守的关键障碍,需要有针对性的干预措施.
科学领域:
- 儿科血液学 儿科血液学
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
背景情况:
- 在儿科慢性健康状况中,低于最佳的药物坚持是普遍存在的,可能会加剧健康差异.
- 服务不足的社区被不成比例地受到不良遵守和随后的不良健康结果的影响.
研究的目的:
- 检查患者,治疗和卫生系统相关的因素,影响状细胞疾病 (SCD) 的年轻人基尿素坚持.
- 使用药房处方数据识别可修改的基尿素粘附障碍.
主要方法:
- 使用了72名年轻人 (10-18岁) 的药房记录,这些年轻人患有SCD,参与了HABIT试验.
- 应用了世界卫生组织的多维坚持模型来分析坚持因素.
- 检查了氧尿素剂量,配方,发放量和处方模式.
主要成果:
- 许多年轻人每天需要3个以上的囊,几乎一半的人面临复杂的每日剂量计划.
- 很大一部分人多次接受了不充分的药物供应 (不足30天).
- 处方基尿素悬浮剂表明潜在的吞困难,500毫克囊与复杂的治疗方案有关.
结论:
- 在治疗和卫生系统层面,基尿素坚持存在共同的障碍.
- 通过有针对性的干预措施,这些障碍有可能被修改.
- 改善依从性对于患有SCD的年轻人更好的健康结果至关重要.
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